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Patients who develop symptoms such as a neck mass, persistent hoarseness, or difficulty swallowing should be promptly referred to an endocrinologist or otolaryngologist for evaluation
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Therefore, the authors concluded that, at least in their studied group, DPP4 gene polymorphisms seem to be unrelated to the inter-individual risk of developing obesity-related metabolic complications ( In another study, visceral adipose tissue DNA of 92 severely obese, non-diabetic female patients was analyzed for methylation rate in the DPP4-promoter CpG island and compared between different DPP4 polymorphisms
